Can I Have a Breast Implant if I Have Thoracic Outlet Compression Syndrome?

Question

I'm 18 years old and I was diagnosed with TOCS and have two ribs removed. I was wondering if I can still have a breast implant and if this would put me in Amy danger if I did have the surgery?

Brent Moelleken, MD · Answer

It should be possible to do a breast augmentation procedure in a patient who has had surgery for a thoracic outlet syndrome.

	The presence of an existing scar may make the surgeon want to change slightly the choice of implants, especially if there is a deformity caused by the thoracic outlet surgery.

Otto Joseph Placik, MD · Answer

In some patients with large breasts their bra straps can cause downward displascement of the shoulder girdle with effects on the scalene muscles. I would try a bra with sizers in them comparable to your implants and wear it for a day or two and you will know.

Adrian Richards, MBBS, MSc · Answer

This is a very good question on balance I think it's very unlikely you would get any problems from a breast implant but it would probably be best not to have it inserted via the armpit route.
	
	This is because the same nerves which affects thoracic outlet syndrome also travel down in this area and it would be best avoid any treatment in this region.
	
	A breast implant inserted by a other incision through the nipple or in the fold under the nipple should however be absolutely fine and should not affect your TOCS.

Darryl J. Blinski, MD · Answer

Yes with a full written thoracic clearance. Without this I would not operate. It helps you realize there are increased risks in your situation. From MIAMI Dr. Darryl J. Blinski, 305 598 0091

Donald W. Kress, MD, FACS · Answer

I've done several breast augmentation surgeries with no change in the symptoms of Thoracic Outlet Syndorme.

Carl W. "Rick" Lentz III, MD (retired) · Answer

While think it would be a good idea to have your plastic surgeon check with your thoracic surgeon first, I doubt there is any contraindication to having breast enlargement, breast augmentation after you had bilateral rib removal for thoracic outlet syndrome.

Can I Have a Breast Implant if I Have Thoracic Outlet Compression Syndrome?

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